MARVIN BOUSKA, M.S., L.L.C. (NPI# 1740624550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740624550 |
| Entity Type | Organization |
| Organization Name | MARVIN BOUSKA, M.S., L.L.C. |
| Practice Address |
1818 W Fulton St Rapid City SD 57702-4377 |
| Practice Telephone | 6053486500 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |
| Authorized Official Name | MR. MARVIN BOUSKA (PSYCHOLOGIST) |
| Authorized Official Telephone | 6053486500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
191 | SD | Behavioral Health & Social Service Providers |
| Street Address |
1818 W FULTON ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-4377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407836372 | Lisa D Porisch | Counselor | 1818 W Fulton St, Suite 201, Rapid City, SD 57702-4377 | 2006-01-18 |
| 1396138392 | Nelson Center, PC | Psychiatry & Neurology | 1818 W Fulton St, Suite 102, Rapid City, SD 57702-4377 | 2015-03-15 |
| 1780950956 | Jennifer J. Kozel, Phd, Lcp, Inc. | Psychologist | 1818 W Fulton St, Ste. 201, Rapid City, SD 57702-4377 | 2012-03-31 |
| 1417237165 | Trisha T Miller Phd Inc | Psychologist | 1818 W Fulton St, Suite 201, Rapid City, SD 57702-4377 | 2011-08-26 |
| 1053540880 | Trisha Terrean Miller | Psychologist | 1818 W Fulton St, Suite 201, Rapid City, SD 57702-4377 | 2009-07-14 |
| 1730207952 | Marvin Lee Bouska | Psychologist | 1818 W Fulton St, Suite 201, Rapid City, SD 57702-4377 | 2007-03-26 |
| 1932137262 | Jenny Jane Kozel | Psychologist | 1818 W Fulton St, Suite 201, Rapid City, SD 57702-4377 | 2006-06-28 |
| 1548229248 | Troy A. Lloyd | Counselor | 1818 W Fulton St, Suite 201, Rapid City, SD 57702-4377 | 2006-03-21 |
| 1801861034 | Robert H. Arnio | Psychologist | 1818 W Fulton St, Suite 201, Rapid City, SD 57702-4377 | 2006-02-21 |
| 1588639033 | Mark William Perrenoud | Psychologist | 1818 W Fulton St, Suite 201, Rapid City, SD 57702-4347 | 2006-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730412867 | Darlene Marie Wilcox | Psychologist | 1723 Brentwood St, Rapid City, SD 57701-0724 | 2009-09-08 |
| 1477700086 | Carver Grupp Psychological Services Inc. | Psychologist | 1818 W Fulton St Ste 201, Rapid City, SD 57702-4347 | 2008-08-26 |
| 1003975467 | Sandra Jensen | Psychologist | 4851 Cliff Dr, Rapid City, SD 57702 | 2006-12-08 |
| 1184704470 | Frederick J Magnavito Jr. | Psychologist | 300 Kansas City St, Rapid City, SD 57701-2884 | 2006-10-17 |
| 1861584385 | James Carl Gardiner | Psychologist | 1480 Edinborough Dr, Rapid City, SD 57702-8721 | 2006-09-29 |
| 1972532026 | Leslie Alan Fiferman | Psychologist | 1501 E Centre St, Rapid City, SD 57703-3003 | 2006-07-01 |
| 1578087078 | Behavior Care Specialists, Inc | Psychologist | 3820 Jackson Blvd Ste 2, Rapid City, SD 57702-3249 | 2017-07-27 |
| 1427469519 | Chantal Marie Peterson | Psychologist | 902 Columbus Street, Rapid City, SD 57701 | 2014-05-12 |
| 1831524370 | Stuart Krause Phd Clinical Psychology, LLC | Psychologist | 550 N 5th St, Ste 3210, Rapid City, SD 57701-1375 | 2013-09-03 |
| 1780950956 | Jennifer J. Kozel, Phd, Lcp, Inc. | Psychologist | 1818 W Fulton St, Ste. 201, Rapid City, SD 57702-4377 | 2012-03-31 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on MARVIN BOUSKA, M.S., L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.